Affective tone of mothers' statements to restrict their children's eating_2016.pdf

<div>Maternal restrictive feeding behaviors have been associated with child weight status. The affective tone</div><div>of mothers' statements intended to restrict their children's eating has not been examined. The objectives</div><div>of this study were to describe the affective tone of mothers' restrictive feeding behaviors (positive or</div><div>negative), and to test the association of child and mother characteristics with rates of Restriction with</div><div>Positive Affect, Restriction with Negative Affect and Total Restriction. A total of 237 low-income childmother</div><div>dyads (mean child age 5.9 years) participated in a videotaped standardized laboratory eating</div><div>protocol, during which mothers and children were both presented with large servings of cupcakes. A</div><div>coding scheme was developed to count each restrictive statement with a positive affective tone and each</div><div>restrictive statement with a negative affective tone. To establish reliability, 20% of videos were doublecoded.</div><div>Demographics and anthropometrics were obtained. Poisson regression models were used to</div><div>test the association between characteristics of the child and mother with counts of Restriction with</div><div>Positive Affect, Restriction with Negative Affect, and Total Restriction. Higher rates of Restriction with</div><div>Positive Affect and Total Restriction were predicted by child obese weight status, and mother non-</div><div>Hispanic white race/ethnicity. Higher rates of Restriction with Negative Affect were predicted by older</div><div>child age, child obese weight status, mother non-Hispanic white race/ethnicity, and lower mother education</div><div>level. In conclusion, in this study mothers of obese (vs. non-obese) children had higher rates of</div><div>restriction in general, but particularly higher rates of Restriction with Negative Affect. Rather than being</div><div>told not to restrict, mothers may need guidance on how to sensitively restrict their child's intake. Future</div><div>studies should consider the contributions of maternal affect to children's responses to maternal</div><div>restriction.</div>